BENNINGTON PATRICK WENTWORTH (NPI# 1265060628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265060628 |
Entity Type | Individual |
Full Name | BENNINGTON PATRICK WENTWORTH |
Practice Address |
848 Adams Ave Memphis TN 38103-2816 |
Practice Telephone | 9012875437 |
Mailing Telephone | 9012875437 |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
3795 | TN | Dietary & Nutritional Service Providers |
Street Address |
848 ADAMS AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38103-2816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437159126 | Barry G Gilmore | Emergency Medicine | 848 Adams Ave, Memphis, TN 38103-2816 | 2005-07-26 |
1942816350 | Emily Craven | Registered Nurse | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-21 |
1851905475 | Sherry Ivy | Clinical Nurse Specialist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-01 |
1841800398 | Sarah Phillips | Student in an Organized Health Care Education/Training Program | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-08-07 |
1922617240 | Megan Leigh Smith | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-07-23 |
1235753187 | Kelsey Aquadro Mace | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-06-05 |
1669094017 | Kelley Little | Physical Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-08 |
1669093571 | Amy Claire Petro | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-01 |
1285255299 | Heather Leann Clabo | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-30 |
1922629146 | Julie Cleary Dillon | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1063049153 | Anna Tuttle | Dietitian, Registered | 50 N Dunlap St Fl 1, Memphis, TN 38103-2800 | 2020-03-26 |
1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
1780204479 | Sydney Devers | Dietitian, Registered | 50 N Dunlap, Research Tower 1st Floor, Memphis, TN 38103 | 2020-04-22 |
1134758196 | Michelle Ann Miller | Dietitian, Registered | 50 N Dunlap St, Memphis, TN 38103-2800 | 2020-04-02 |
1841828902 | Anita Lucille Jones | Dietitian, Registered | 50 N Dunlap St, Memphis, TN 38103-2800 | 2020-04-01 |
1104454495 | Julia Yvonne Noel | Dietitian, Registered | 50 N Dunlap St, Memphis, TN 38103-2800 | 2020-03-31 |
1194353466 | Racheal Bennett | Dietitian, Registered | 50 N Dunlap St Fl 1, Memphis, TN 38103-2800 | 2020-03-31 |
1073141669 | Mallori Channing Roberts | Dietitian, Registered | 50 N Dunlap St, Memphis, TN 38103-2800 | 2020-03-30 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.